View in EDS HTML Full Text PDF Full Text

Improving electronic health record documentation and use to promote evidence-based pediatric care.

Saved in:
Bibliographic Details
Title: Improving electronic health record documentation and use to promote evidence-based pediatric care.
Authors: Till, Lance (AUTHOR), Leis, Julie (AUTHOR), McCombs-Thornton, Kimberly (AUTHOR), Lee, Helen (AUTHOR), Reinhart, Shauna (AUTHOR), Valado, Trenna (AUTHOR), Briggs, Rahil (AUTHOR), Bushar, Jessica (AUTHOR), Fritz, Laila (AUTHOR)
Source: Journal of Pediatric Psychology. Jan2025, Vol. 50 Issue 1, p115-128. 14p.
Subjects: Electronic health records, Child health insurance, Pediatric therapy, Digital technology, Primary care
Abstract: Objective Electronic health records (EHRs) often lack the necessary functionalities to support the full implementation of national clinical guidelines for pediatric care outlined in the American Academy of Pediatrics Bright Futures Guidelines. Using HealthySteps (HS), an evidence-based pediatric primary care program, as an exemplar, this study aimed to enhance pediatric EHRs, identify facilitators and barriers to EHR enhancements, and improve data quality for delivering clinical care as part of HS implementation and evidence building. Methods Three HS sites—each differing in location, setting, number of children served, and mix of child insurance coverage—participated in the study. Sites received technical assistance to support data collection and EHR updates. A comprehensive evaluation, including a process evaluation and outcomes monitoring, was conducted to gauge progress toward implementing study data requirements over time. Data sources included administrative records, surveys, and interviews. Results All sites enhanced their EHRs yet relied on supplemental data systems to track care coordination. Sites improved documentation of required data, demonstrating reductions in missing data and increases in extractable data between baseline and follow-up assessments. For example, the percentage of missing social-emotional screening results ranged from 0% to 8.0% at study conclusion. Facilitators and barriers to EHR enhancements included organizational supports, leadership, and capacity building. Conclusions With significant investment of time and resources, practices modified their EHRs to better capture services aligned with HS and Bright Futures. However, more scalable digital solutions are necessary to support EHR updates to help drive improvements in clinical care and outcomes for children and families. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 182369192
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Improving electronic health record documentation and use to promote evidence-based pediatric care.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Till%2C+Lance%22">Till, Lance</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Leis%2C+Julie%22">Leis, Julie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McCombs-Thornton%2C+Kimberly%22">McCombs-Thornton, Kimberly</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee%2C+Helen%22">Lee, Helen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Reinhart%2C+Shauna%22">Reinhart, Shauna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Valado%2C+Trenna%22">Valado, Trenna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Briggs%2C+Rahil%22">Briggs, Rahil</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bushar%2C+Jessica%22">Bushar, Jessica</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fritz%2C+Laila%22">Fritz, Laila</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+Pediatric+Psychology%22">Journal of Pediatric Psychology</searchLink>. Jan2025, Vol. 50 Issue 1, p115-128. 14p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Electronic+health+records%22">Electronic health records</searchLink><br /><searchLink fieldCode="DE" term="%22Child+health+insurance%22">Child health insurance</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatric+therapy%22">Pediatric therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Digital+technology%22">Digital technology</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+care%22">Primary care</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective Electronic health records (EHRs) often lack the necessary functionalities to support the full implementation of national clinical guidelines for pediatric care outlined in the American Academy of Pediatrics Bright Futures Guidelines. Using HealthySteps (HS), an evidence-based pediatric primary care program, as an exemplar, this study aimed to enhance pediatric EHRs, identify facilitators and barriers to EHR enhancements, and improve data quality for delivering clinical care as part of HS implementation and evidence building. Methods Three HS sites—each differing in location, setting, number of children served, and mix of child insurance coverage—participated in the study. Sites received technical assistance to support data collection and EHR updates. A comprehensive evaluation, including a process evaluation and outcomes monitoring, was conducted to gauge progress toward implementing study data requirements over time. Data sources included administrative records, surveys, and interviews. Results All sites enhanced their EHRs yet relied on supplemental data systems to track care coordination. Sites improved documentation of required data, demonstrating reductions in missing data and increases in extractable data between baseline and follow-up assessments. For example, the percentage of missing social-emotional screening results ranged from 0% to 8.0% at study conclusion. Facilitators and barriers to EHR enhancements included organizational supports, leadership, and capacity building. Conclusions With significant investment of time and resources, practices modified their EHRs to better capture services aligned with HS and Bright Futures. However, more scalable digital solutions are necessary to support EHR updates to help drive improvements in clinical care and outcomes for children and families. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=182369192
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1093/jpepsy/jsae067
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 14
        StartPage: 115
    Subjects:
      – SubjectFull: Electronic health records
        Type: general
      – SubjectFull: Child health insurance
        Type: general
      – SubjectFull: Pediatric therapy
        Type: general
      – SubjectFull: Digital technology
        Type: general
      – SubjectFull: Primary care
        Type: general
    Titles:
      – TitleFull: Improving electronic health record documentation and use to promote evidence-based pediatric care.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Till, Lance
      – PersonEntity:
          Name:
            NameFull: Leis, Julie
      – PersonEntity:
          Name:
            NameFull: McCombs-Thornton, Kimberly
      – PersonEntity:
          Name:
            NameFull: Lee, Helen
      – PersonEntity:
          Name:
            NameFull: Reinhart, Shauna
      – PersonEntity:
          Name:
            NameFull: Valado, Trenna
      – PersonEntity:
          Name:
            NameFull: Briggs, Rahil
      – PersonEntity:
          Name:
            NameFull: Bushar, Jessica
      – PersonEntity:
          Name:
            NameFull: Fritz, Laila
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Text: Jan2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 01468693
          Numbering:
            – Type: volume
              Value: 50
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Journal of Pediatric Psychology
              Type: main
ResultId 1